When it comes to Medicare prescription drug coverage, you might have questions surrounding the Medicare Part D coverage gap, also known as the “donut hole.” The coverage gap is a temporary limit on what most Medicare Part D Prescription Drug Plans or Medicare Advantage Prescription Drug plans pay for prescription drug costs.
By Jonathan Blum, Deputy Administrator and Director for the Center of Medicare at the Centers for Medicare and Medicaid Services. A number of visitors to www.HealthCare.gov have told us they’d like to know more about the Medicare “donut hole” in the Part D program.. If you aren’t familiar with Medicare, it is a health insurance program for people 65 or older, people under 65 with ...
The donut hole, or coverage gap, has long been one of the most controversial parts of the Medicare Part D prescription drug benefit and of concern to many people who have joined a Part D drug plan.The good news is that it's steadily shrinking as a result of the Affordable Care Act.
Medicare Part D beneficiaries with high prescription drug costs will get some relief as the donut hole will close in 2019 due to a new budget deal.
The Medicare Part D donut hole or coverage gap is the phase of Part D coverage after the end of your initial coverage period. After falling into the donut hole, the amount you pay for your prescriptions increases. If you’ve noticed that you are suddenly paying more for your drugs, you may be in the donut hole.
The Medicare Part D coverage gap for prescription drugs, commonly referred to as the “Medicare donut hole,” has been gradually closing since the Affordable Care Act went into effect in 2010. Thanks to the Bipartisan Budget Act of 2018, the Medicare Part D donut hole will get even smaller in 2019 for generic drugs, and it will close outright ...
The Medicare Part D coverage gap, also known as the “donut hole,” presents a complex issue in healthcare. Under the Affordable Care Act (ACA) of 2010, the donut hole was set to be completely eliminated by 2020. With the new administration and the promise of healthcare reform, no one is sure what will happen to the donut hole.
For most Americans, the Medicare Part D donut hole is a coverage gap that could make all the financial difference when it comes to paying for prescription drugs. While you are in this gap in 2018, you are responsible for paying for 35 percent of brand-name drug costs out of pocket until you reach a certain limit.
The Medicare Part D donut hole, or Coverage Gap, is one of four stages you may encounter during the year while a member of a Part D prescription drug plan. Specifically, the donut hole is the point in the year when your prescription benefits change because the total cost paid by you and the plan have reached the Initial Coverage Limit.
The “donut hole” is temporarily reduced coverage of your medication costs. It doesn’t happen to everyone – read more to see if the donut hole might affect you. Medicare Part D: A Brief Overview. Before we jump into the Part D donut hole, here’s a quick rundown on Medicare Part D. You don’t get this coverage automatically, in most cases.